Saifur Rahman

“the safety critical code blue call - automatically triggering an emergency response - was delayed by up to 2 minutes”

“cell fabric history - including fabric changes, damage and repairs - is safety critical information”

“the mental health trust assessors had historically only dip-sampled a selection of the 15 x 2 cells on health care ward 2 (physical health) and ward 3 (mental health)”

“dynamic daily and weekly prison officer cell fabric checks did not identify the risks with cell H3-15”